Patient's question:
Overweight, no other symptoms. Diagnosed with PCOS in February after a thorough examination. Mild adhesions at the fimbriae of the fallopian tubes. Previous treatment and effectiveness: Currently taking desogestrel/ethinyl estradiol tablets and receiving ovulation induction injections. Two cycles of pregnancy attempts have not been successful. Please provide treatment suggestions.Doctor's answer:
Hello, both polycystic ovary syndrome (PCOS) and fallopian tube fimbrial adhesion can interfere with pregnancy, requiring careful examination and treatment. In this case, it is recommended to treat PCOS first.Treatment Principles for Polycystic Ovary Syndrome (PCOS):
1. Weight loss, increased physical activity, and avoiding high-sugar, high-fat diets.
2. Medication: Take one tablet daily starting on the 5th day of the menstrual cycle, for 21 consecutive days, followed by a 7-day break, and repeat for 6 weeks.
3. Surgery: Laparoscopic ovarian drilling.
For the treatment of fallopian tube adhesion, it may be possible to consider a wire-guided catheterization procedure to restore patency.
Fallopian tube disease is a common gynecological condition. During treatment, women should pay attention to self-care, especially in terms of hygiene. It is recommended that patients avoid sexual activity during treatment and maintain good hygiene. Finally, we wish all female patients a speedy recovery!